Release date, September 2007. Revised date, September 2009.
Expiration date, December 2009.

Accreditation Statement

The American Medical Association is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing medical education for physicians.

Information on CME Credit

This program is currently not available for CME credit.

Financial Support

The development of this CME web program was supported through an independent educational grant from Purdue Pharma L.P., and produced in accordance with the AMA Standards for Industry-Supported Multimedia Continuing Medical Education and Other Communications.

Intended Audience

This continuing medical education program is intended for primary care physicians and those physicians who care for patients experiencing pain.

 

Disclosures

Disclosure Policy
In order to assure the highest quality of CME programming, and to comply with the ACCME Standards for Commerical Support, the AMA requires that all faculty and planning committee members disclose revelant financial relationships with any commerical or proprietary entity producing health care goods or services relevant the content being planned or presented. The following disclosures are provided:

CME Advisory Board

Dr. Argoff:	Speaker/Advisory Board: Pfizer, Lilly, Endo Consultant: Pfizer Grant Support: Cephalon, GlaxoSmithKline Speaker’s Bureau: King Pharmaceuticals
Dr. Berek:	Nothing relevant to disclose
Dr. Chin:	Nothing relevant to disclose
Dr. D’Agostino:	Consultant: Pfizer
Dr. Ferrell:	Nothing revelant to disclose
Dr. Fine:	Advisory Board: Endo, Cephalon, Lilly, Alpharma, Wyeth & GlaxoSmithKline
Dr. Fishman:	Consultant: Cephalon, Lilly Consultant, Speaker’s Bureau, Grants/Research Support: Elan, Endo, Janssen, Merck, Pfizer, Purdue
Dr. Follett:	Nothing revelant to disclose
Dr. Grabois:	Nothing revelant to disclose
Dr. Houck:	Nothing revelant to disclose
Dr. Hull:	Speakers Bureau: Sanofi Synthelabo
Dr. Koman:	Research: Allergan
Dr. Kulesz:	Nothing revelant to disclose
Dr. Lambing	Nothing revelant to disclose
Dr. Lesage:	Nothing revelant to disclose
Mr. Lipman:	Speakers Bureau: Pfizer; Merck Consultant: Pfizer, Merck, Bioline Research funding: Medgenex, Progenics
Dr. Lippe:	Nothing revelant to disclose
Dr. Portenoy:	Consultant: Alpharma, Ameritox, Cephalon, GW Pharma, Grupo Ferrer, Insys Therapeutics King Pharmaceuticals, Neuromed, Purdue Pharma, Shire Pharmaceuticals, Titan, Transcept Pharmaceuticals,WEX Pharmaceuticals, Wyeth, Xenon Grants: Archimedes Pharmaceuticals, Cephalon, Endo Pharmaceuticals. Fralex, GW Pharmaceuticals, King Pharmaceuticals, Pfizer, Inc., Purdue Pharma, United BioSource Corp., Wyeth
Dr. Savage:	Advisory Board: Reckitt Benckiser, King Pharmaceuticals
Dr. Streltzer:	Nothing revelant to disclose
Dr. Thompson:	Nothing revelant to disclose
Dr. Todd:	Consultant: Johnson & Johnson, Alza
Independent Reviewer
Dr. Dickinson:	Nothing revelant to disclose
AMA Editorial Staff
Dr. Evans:	Nothing revelant to disclose
Ms. Fitzgerald:	Nothing revelant to disclose

Disclosed financial relationships have been reviewed by the AMA to resolve any potential conflicts of interest. All faculty and planning committee members have attested that their financial relationships do not affect their ability to present well-balanced evidence-based content for this activity.

Disclosure of Off-Label Uses
The content of this CME publication may contain discussion of off-label uses of some of the agents mentioned. Please consult the product prescribing information for full disclosure of labeled uses.

CME Advisory Board

American Medical Association

R. Mark Evans, PhD
Director, Healthcare Education Products
American Medical Association
Chicago , IL

Perry G. Fine, MD
Associate Medical Director
Pain Management Center
Professor of Anesthesiology
University of Utah
Salt Lake City , UT

Philipp M. Lippe, MD
Executive Medical Director
American Academy of Pain Medicine
Clinical Professor of Neurosurgery
Stanford University
Stanford , CA

Arthur G. Lipman, PharmD
Professor, College of Pharmacy & Director of Clinical Pharmacology
Pain Management Center , Pain Medicine and Palliative Care Advisory Group
Huntsman Cancer Institute
U niversity of Utah Health Sciences Center
Salt Lake City , UT

Russell K. Portenoy, MD
Chairman, Department of Pain Medicine
and Palliative Care
Beth Israel Medical Center
New York, NY
Professor of Neurology and Anesthesiology
Albert Einstein College of Medicine
Bronx, NY

Independent Reviewer

Barry D. Dickinson, PhD
Director, Science Policy,
Research and Technology
American Medical Association
Chicago, IL

American Academy of Neurology

Charles E. Argoff, MD
Co-Director, Cohn Pain Management Center
Assistant Professor of Neurology
North Shore University Hospital
Manhasset , NY

American Academy of Osteopathy

Darrin D'Agostino, DO
Assistant Director of Medicine
Director of Ambulatory Pain Services
Hartford Hospital
Hartford , CT

American College of Obstetricians and Gynecologists

Jonathan S. Berek, MD
Professor and Chair, College of Applied Anatomy
Executive Vice Chair, Department of OB/GYN
Chief, Gynecology Service
Chief, Division of Gynecologic Oncology
David Geffen School of Medicine at UCLA
Los Angeles , CA

American Society of Anesthesiologists

May L. Chin, MD
Professor of Anesthesiology
Director, Pain Management Center
George Washington University Hospital
Washington , DC

American Geriatrics Society

Bruce A. Ferrell, MD
Associate Professor
Department of Medicine, Division of Geriatrics
David Geffen School of Medicine at UCLA
Los Angeles , CA

American Pain Society

Scott M. Fishman, MD
Professor and Chief, Division of Pain Medicine
Department of Anesthesiology and Pain Medicine
University of California , Davis
Sacramento , CA

American Academy of Pain Medicine

Kenneth A. Follett, MD, PhD
Professor, Neurosurgery
University of Iowa Hospital & Clinics
Iowa City , IA

American Academy of Physical Medicine & Rehabilitation

Martin Grabois, MD
Professor and Chairman
Department of Physical Medicine and Rehabilitation
Baylor College of Medicine
Houston , TX

American Academy of Pediatrics

Constance S. Houck, MD
Senior Associate in Anesthesia, Department of Anesthesiology, Perioperative and Pain Medicine
Children's Hospital
Assistant Professor, Anesthesia
Harvard Medical School
Boston , MA

American Osteopathic Association

Richard L. Hull, DO
President-Elect, American College of Osteopathic
Sclerotherapeutic Pain Management
Iola , KS

American Academy of Orthopaedic Surgeons

L. Andrew Koman , MD
Vice Chair and Professor, Department of Orthopedic Surgery
Wake Forest University School of Medicine
Winston-Salem , NC

American Academy of Physician Assistants

Sharon Kulesz, PA-C
Assistant Director of Professional Affairs, AAPA
Alexandria , VA

American Academy of Family Physicians

Cheryl L. Lambing, MD
Assistant Clinical Professor
University of California , Los Angeles
Ventura , CA

American Society of Addiction Medicine

Seddon R. Savage, MD, MS
Pain Consultant, Manchester VAMC
Associate Professor of Anesthesiology
Adjunct Faculty, Dartmouth Medical School
Bradford , NH

American Psychiatric Association

Jon Strelzer, MD
Professor, Department of Psychiatry
John A. Burns School of Medicine
University of Hawaii at Manoa
Honolulu , HI

American College of Surgeons

A. Reed Thompson , MD , FACS
Associate Professor, Donald W. Reynolds Department of Geriatrics
University of Arkansas for Medical Sciences
Little Rock , AR

American College of Emergency Physicians

Knox H. Todd, MD, MPH , FACEP
Director, Pain and Emergency Medicine Initiative
Adjunct Associate Professor, Rollins School of Public Health
Emory University School of Medicine
Atlanta , GA

Contributing Authors

Elizabeth F. Brown, MD
Lake Forest , IL

Constance S. Houck, MD
Children's Hospital
Harvard Medical School
Boston , MA

Pauline Lesage, MD, LLM,
Medical Director, Jacob Perlow Hospice
Beth Israel Medical Center
Associate Professor, Family Medicine
Albert Einstein School of Medicine
New York, NY

Russell K. Portenoy, MD
Chairman, Department of Pain Medicine and Palliative Care
Beth Israel Medical Center
Professor of Neurology
Albert Einstein College of Medicine
New York , NY

Contributing Editors

R. Mark Evans, PhD
American Medical Association

Patti Fitzgerald
American Medical Association

Art and Illustration

Copyright © 2007-2009 Scott Bodell, Bodell Communications, Inc.